PEACH COMMUNITY HOME NPI 1609177757

NPI Information

  • NPI: 1609177757
  • Provider Name: PEACH COMMUNITY HOME
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Address: 528 BOB WHITE LN
    ALEXANDRIA, LA
    ZIP 71303
  • Phone: (318) 787-6915

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NPI Details

PEACH COMMUNITY HOME is a residential treatment facility, intellectual and/or developmental disabilities in Alexandria, LA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. PEACH COMMUNITY HOME NPI is 1609177757. The provider is registered as an organization entity type.

The provider's business location address is:

528 BOB WHITE LN
ALEXANDRIA, LA
ZIP 71303-415
Phone: (318) 787-6915

The provider's authorized official is Kara Henry Bertrand .
The authorized official title is Administrator and has the following contact phone number (318) 448-0291.

The enumeration date for this NPI number is 11/5/2010 and was last updated on 11/5/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities16667LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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